Provider Demographics
NPI:1427002500
Name:ANGEL CARE HOME HEALTH
Entity Type:Organization
Organization Name:ANGEL CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EASTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:979-826-3221
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:PATTISON
Mailing Address - State:TX
Mailing Address - Zip Code:77466-0005
Mailing Address - Country:US
Mailing Address - Phone:979-826-3221
Mailing Address - Fax:979-826-9391
Practice Address - Street 1:13302 FM 359 RD
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-3436
Practice Address - Country:US
Practice Address - Phone:979-826-3221
Practice Address - Fax:979-826-9391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX582241251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health